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用于压力性损伤重建的各种皮瓣:一项叙述性综述。

Various Flaps Used for Reconstruction of Pressure Injuries: A Narrative Review.

作者信息

Bani Assad Shima, Sadri Peyman

机构信息

Department of General Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Department of Anesthesiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

World J Plast Surg. 2025;14(1):3-9. doi: 10.61186/wjps.14.1.3.

Abstract

Pressure injury/ulcer is localized damage to the skin and/or underlying tissues primarily caused by prolonged unrelieved pressure, particularly in patients with limited mobility. The increasing incidence of pressure injuries as a result of aging population and growing number of nursing home residents along with the posing socio-economic burden highlights the importance of increasing our understanding of this global problem, and the available preventive and therapeutic strategies. Surgical intervention using flap reconstruction is the mainstay therapy for management of pressure injuries with advanced stages. We present a comprehensive review on various types, indications, advantages and limitations of flaps used in reconstruction of advanced-stage pressure injuries.

摘要

压力性损伤/溃疡是皮肤和/或皮下组织的局部损伤,主要由长期未缓解的压力引起,尤其是在行动不便的患者中。由于人口老龄化和疗养院居民数量增加导致压力性损伤的发病率上升,以及由此带来的社会经济负担,凸显了加深我们对这一全球性问题以及现有预防和治疗策略理解的重要性。使用皮瓣重建的手术干预是晚期压力性损伤管理的主要治疗方法。我们对用于晚期压力性损伤重建的各种皮瓣的类型、适应症、优点和局限性进行了全面综述。

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本文引用的文献

1
WHS guidelines for the treatment of pressure ulcers-2023 update.《2023年更新的压力性溃疡治疗WHS指南》
Wound Repair Regen. 2024 Jan-Feb;32(1):6-33. doi: 10.1111/wrr.13130. Epub 2023 Dec 20.
3
SPINE: An Initiative to Reduce Pressure Sore Recurrence.脊柱:一项降低压疮复发率的倡议。
Plast Reconstr Surg Glob Open. 2022 Nov 15;10(11):e4625. doi: 10.1097/GOX.0000000000004625. eCollection 2022 Nov.
10
Pressure Injury.压疮
Ann Surg. 2020 Apr;271(4):671-679. doi: 10.1097/SLA.0000000000003567.

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